Sizing and positioning technology for an in-the-ear multi-measurement sensor to enable NIBP calculation

• US 8,419,637 B2
• Filed: 06/13/2006
• Issued: 04/16/2013
• Est. Priority Date: 06/30/2005
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Nielsen, Larry, Poux, Christopher J.
• Primary Examiner(s): Lin, Jerry
• Application Number:
  US11/995,006
• Publication Number:
  US 20090069645A1
• Time in Patent Office: 2,499 Days
• Field of Search: 600/301
• US Class Current: 600/301
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/6817 Ear canal
• CPC Class Codes: A61B 5/6886 Monitoring or controlling distance between sensor and tissue
• CPC Class Codes: H04R 25/70 Adaptation of deaf aid to hearing loss, e.g. initial electronic fitting

Abstract

An in-the-ear (ITE) physiological measurement device (2) includes a structure (4) formed for easy insertion into multiple shaped and sized ear canals. An inflatable balloon (6) surrounds an end portion of the structure (4) to be positioned in the ear. Optionally, a mushroom shaped tip (22) is connected with an end of the structure (4) and carries a plurality of sensors (8). Inflation of the balloon (6) expands the tip (22) radially to position the sensors (8) proximate to vascular tissue within the ear canal. Once suitably positioned, the one or more sensors (8) sense physiological signals from the vascular tissue and bone structure.

Claims

1. An in-the-ear (ITE) physiological measurement device including:

a structure formed for insertion into an ear canal;

a tip operatively connected to a region of the structure inserted in the ear;

one or more sensors operatively connected to the tip that is inserted in the ear; and

an inflatable balloon operatively coupled to the portion of the structure inserted in the ear, the inflatable balloon inflates to position the one or more sensors proximate to tissue within the ear canal such that the one or more sensors non-invasively sense signals from the surrounding tissue and bone structure indicative of at least blood pressure.

2. The ITE physiological measurement device according to claim 1, wherein the structure is inserted to position the one or more sensors proximate to at least one of a bony region and a quite zone of the ear canal.

3. The ITE physiological measurement device according to claim 1, wherein the inflated balloon positions the one or more sensors located on the tip proximate to the vascular tissue with ideal force and pressure to ensure close coupling of sensors with tissue without causing decreased perfusion or blanching of the tissue.

4. The ITE physiological measurement device according to claim 1, the tip and/or the balloon serves as a reflector to reflect and direct sensor sourced light through the tissue of the ear, reflectively and transmissively, into a light detector while blocking ambient light such that the sensor further senses signals indicative of at least a blood oxygen level.

5. The ITE physiological measurement device according to claim 1, the tip and/or the balloon serves as buffer between external ambient airflow and a thermistor that measures a surrogate of core body temperature.

6. The ITE physiological measurement device according to claim 1, wherein the balloon is disposed between the structure and the tip to inflate and expand the tip as the balloon is inflated in order to position the one or more sensors located thereon proximate to the vascular tissue.

7. The ITE physiological measurement device according to claim 1, wherein the one or more sensors include one or more of:

a light emitting diode, an IR source, a light detector, a thermistor, a pressure transducer, and a microphone.

8. The ITE physiological measurement device according to claim 1, wherein the inflatable balloon expands to position the one or more sensors within an adult ear canal from about 6 mm in diameter to about 13 mm in diameter, and within a pediatric ear canal from about 4 mm in diameter to about 7 mm in diameter.

9. The ITE physiological measurement device according to claim 1, further including an electronic device which:

causes the balloon to inflate until blood flow in the proximate tissue in the ear is occluded;

causes the balloon to deflate; and

determines a systolic blood pressure and a diastolic blood pressure from the sensor signals.

10. An in-the-ear (ITE) physiological measurement device comprising:

a structure formed for insertion into an ear canal, the structure including a passageway that extends through the structure for equalizing ear pressure within the ear canal with ambient air pressure;

one or more sensors operatively coupled to a portion of the structure that is inserted in the ear; and

an inflatable balloon operatively coupled to the portion of the structure inserted in the ear, the inflatable balloon inflates to position the one or more sensors proximate to tissue within the ear canal such that the one or more sensors non-invasively sense signals from the surrounding tissue and bone structure indicative of at least blood pressure.

11. The ITE physiological measurement device according to claim 10, wherein the one or more sensors are operatively attached to the inflatable balloon.

12. The ITE physiological measurement device according to claim 10, the structure including:

an air passageway that extends through the structure to the balloon for inflating and deflating the balloon; and

a wire passageway that extends through the structure to the one or more sensors for housing sensor wires for carrying power or control signals to the sensors and data from the sensors.

13. The ITE physiological measurement device according to claim 10, further including:

a semi-rigid connector tube that is formed to fit over and/or around the ear to prevent over insertion of the structure to hold the structure in position with optimized orientation and positioning.

14. An in-the-ear (ITE) physiological measurement device including:

a structure formed for insertion into an ear canal;

one or more sensors operatively coupled to a portion of the structure that is inserted in the ear;

an inflatable balloon operatively coupled to the portion of the structure inserted in the ear, the inflatable balloon inflates to position the one or more sensors proximate to tissue within the ear canal such that the one or more sensors non-invasively sense signals from the surrounding tissue and bone structure indicative of at least blood pressure; and

a sheath that protects the structure, the balloon, the one or more sensors, and the ear canal from cross contamination.

15. The ITE physiological measurement device according to claim 14, wherein the structure is inserted to position the one or more sensors proximate to surrounding deep ear canal tissue which is perfused with arterial blood supplied by branches of at least one of External and Internal Carotid Arteries and serves as a well perfused physiological site even if the body is experiencing peripheral shutdown due to shock or other conditions.

16. The ITE physiological measurement device according to claim 14, further including:

a battery that powers one or more components.

17. A method for measuring blood pressure within the ear canal, comprising:

inserting an in-the-ear structure into an ear canal to a desired depth;

inflating the inflatable balloon operatively connected to an end portion of the in-the-ear structure to occlude blood flow in the ear tissue proximate to the inflatable balloon and to position one or more sensors proximate to vascular tissue of the ear canal; and

using the one or more sensors to obtain a systolic and a diastolic blood pressure signals from the surrounding tissue and bone structure while inflating and/or deflating the inflatable balloon.

18. The method according to claim 17, further including measuring blood pressure through one or more of an auscultatory approach and an oscillometric approach.

19. A method for continuously measuring blood within the ear canal, comprising:

inserting an in-the-ear structure into an ear canal to a desired depth;

inflating an inflatable balloon operatively connected to an end portion of the in-the-ear structure to position one or more sensors proximate to vascular tissue of the ear canal;

obtaining at least one of an initial systolic and diastolic blood pressure measure reading with the one or more sensors;

determining a mean blood pressure measurement from the reading;

inflating the balloon within the ear canal to the mean blood pressure;

periodically adjusting balloon pressure; and

capturing a maximum pulse waveform amplitude indicative of the mean blood pressure using the one or more sensors.

20. The method according to claim 19, further including deriving at least one of a systolic and a diastolic blood pressure from at least one of the mean blood pressure and one or more pulse waveform amplitudes.

21. A physiological measurement device for measuring physiological signals from within the ear canal, comprising:

a first structure formed for easy insertion into multiple shaped and sized ear canals;

a second structure that supports the first structure to facilitate maintaining the position of the first structure within the ear canal;

an inflatable balloon disposed around a portion of the first structure to be positioned in the ear, the inflatable balloon expands radially with inflation;

a radially expanding tip connect with the first structure and extending at least partially around the inflatable balloon such that inflation of the balloon radially expands the tip; and

a sensor carried by the tip to the pressed into sensing interaction within an ear canal.

22. The physiological measurement device according to claim 21, the sensor senses one or more of blood pressure, continuous blood pressure, pulse, blood oxygen level, perfusion, body temperature, and respiration.

23. The physiological measurement device according to claim 21, wherein the one or more sensors include one or more of the following:

a light emitting diode, an IR source, a light detector, a thermistor, a pressure transducer, and a microphone.

24. The physiological measurement device according to claim 21, wherein the physiological measurement device is operatively connected to the secondary device by a semi-rigid connector tube that is formed to fit over and/or around the ear to prevent over insertion and to hold the physiological measurement device in position with optimised orientation and positioning.